Organization
MEDICAL CENTER PRESCRIPTION SHOP
Active
Other names
Prescription Shop
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FREDERICK DWOZAN RPH (CEO)
(478) 374-5514
Entity
Organization
Contact information
Practice address
710 MEDICAL CENTER DR, EASTMAN, GA 31023
(478) 374-5514
(478) 374-8617
Mailing address
710 MEDICAL CENTER DR, EASTMAN, GA 31023
(478) 374-5514
(478) 374-8617
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE006118
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00031864A
—
GA
Enumeration date
04/24/2006
Last updated
07/27/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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